Introduction. Participation in the sports movement is an effective tool for the full-fledged socialization of people with disabilities. In this regard, one of the socially significant tasks of the state is to ensure the availability of conditions for practicing various sports and adaptive physical culture (APhC) for people with disabilities.

Materials and methods. To study the socio-psychological readiness of the family to include a disabled child in APhC classes, a survey was conducted on 67 parents of children with cerebral palsy (CP). CP patients were observed at the National Medical Research Center of Children’s Health of the Ministry of Health of Russia in 2019–2020. The criteria for the inclusion of participants in the group of subjects were the informed consent of the parents, the presence of medical indications, and the absence of contraindications for the child to engage in APhC training.

Results. There is presented objective data indicating a positive attitude of respondents to APhC as one of the most effective tools for the development of movements in children. The factors that determine the socio-psychological readiness of parents for this type of rehabilitation are awareness of the child’s health, emotional stability and focus on achieving positive results in the child’s socialization, sufficient adherence to treatment. Socio-psychological factors reducing the likelihood of including children in APhC classes include a pessimistic assessment of the child’s health and social prospects, insufficient awareness of the positive impact of APhC classes on the physical development of a CP child, an incomplete awareness of the institutions in which this type of assistance can be obtained, the place of residence, the low physical activity of parents.

Conclusion. The study of the socio-psychological profiles of parents with different motivations for the participation of a CP child in APhC classes proves the need for a differentiated approach to the management of psychological and pedagogical work with parents.

Introduction. Sleep disorders in children with nervous system pathology are more pronounced than in the general population. One of the most common causes of sleep disorders in children is sleep-disordered breathing. The aim of our study was to create an algorithm for the diagnosis of sleep breathing disorders in children with neurological pathology. 

Materials and methods. The results of night studies (160 polysomnographies, 98 cardiorespiratory monitorings) carried out in the department of instrumental diagnostics at the National Medical Research Center for Children’s Health in 258 children (154 boys and 104 girls, aged one month to 17 years) with neurological pathology were analyzed. Questionnaires were used to assess the quality of sleep. An essential criterion for dividing children into groups was the presence of maxillofacial anomalies (MFA). The results were compared with complaints according to questionnaires, age, BMI and ENT-status of patients. 

Results. In the general sample, a significant (p < 0.001) relationship between respiratory disorders and complaints and the presence of ENT pathology was obtained. The most severe breathing disorders were recorded in children with MFA (p < 0.001). The result was the creation of an algorithm for examining children with neurological pathology. 

Conclusion. Children with neurological pathology in sleep-breathing disorders require a personalized approach to correcting the causes of these disturbances, depending on the nosology. Chronic pathology of the ENT organs aggravates respiratory disorders during sleep. Regular monitoring of sleep disorders using questionnaires should be included in the algorithm for managing children with neurological diseases of all ages for early detection of these disorders.

The aim of the study is to investigate the direction of changes in the epileptiform state of the rat organism under the influence of antiepileptic drugs, and also to reveal the possibility of using simple criteria for the comparative assessment of the severity of their protective actions using the hardware complex «Bioscope». 

Materials and methods. Three series of experiments were carried out using anticonvulsants: Dilantin, Depakine, and Zarontin. In each series of experiments, the integrative state of animals was recorded in normal conditions, after administration of an anticonvulsant drug and after administration of corazole against the background of the effect of an anticonvulsant drug. For a comparative assessment of the effectiveness of the protective action of the antiepileptic drug, spectral distributions of the signals of the «Bioscope» were constructed and the power of the signals was compared in normal conditions and after administration of drugs.

Results. For the relief of epileptiform states, Dilantin and Depakin are most effective — after the introduction of corazole against the background of these drugs, a higher correlation was observed between the values of the power of their spectrum compared with the norm. The injection of Dilantin has been shown to significantly change the nature of the «Bioskop» signals, while after the introduction of Depakin this does not happen. Zarontin was found to have a lower efficacy in relieving epileptiform states of the body compared to Dilantin and Depakin.

Conclusion. The study revealed the feasibility of using the hardware complex «Bioscope» for the purpose of rapid assessment of the protective effect of antiepileptic drugs in epileptiform states of the body. At the same time, the possibility of using simple criteria for a comparative assessment of the severity of the protective action of drugs is shown.

Hirst’s encephalitis is a severe disease characterized by an acute onset and rapidly progressive inflammation with symmetrical multifocal lesions of the brain, less often the cerebellum, brain stem, or spinal cord, manifested by white matter necrosis and numerous hemorrhages. Cases of Hirst’s encephalitis are quite rare; by 2014, about 100 cases of the disease have been described in the literature. The mortality rate for this disease reaches 70%. Its etiology remains unclear, and in most cases, the diagnosis is made heuristically, based on the similarity of clinical manifestations in a particular patient with the “classical” descriptions available in the literature. The article presents two clinical cases of Hirst’s encephalitis. In the first case, the disease debuted at the age of 14 with mental disorders, manifested by panencephalitis, depression of consciousness, and epileptic seizures. Against the background of aggressive therapy, it was possible to achieve a positive result, however, with an outcome in gross neurological and cognitive deficits. In the second case, the disease debuted at the age of 49 with loss of consciousness, manifested itself as resistant status epilepticus and multifocal inflammatory lesions of the white matter of both brain hemispheres with foci of hemorrhagic impregnation. Despite intensive therapy, this case was fatal. In conclusion, a description of the approaches to the diagnosis and treatment of Hirst’s encephalitis based on the data of modern literature is presented.

The periventricular and deep white matter of the immature brain of premature infants has an increased vulnerability to various, primarily ischemic injuries. The leading mechanism of selective vulnerability of the white matter of the large hemispheres in children with a low gestation period is the lack of formation of adjacent blood circulation zones between the main arteries of the developing brain. Magnetic resonance imaging has a high sensitivity to detect damage to the brain substance, both in the acute period and in the period of long-term outcomes. Periventricular leukomalacia (PVL) is one of the variants of brain damage in premature infants and the most common term in the conclusions of diagnostic doctors (ultrasound, CT, MRI). Considering the pathomorphological criteria, not always detected changes in the white matter of the large hemispheres are PVL. Diffuse (telencephalic) gliosis and diffuse leukomalacia are ordinary and typical variants of damage to the white matter of the large hemispheres in extremely premature infants, with a gestation period of up to 30-32 weeks. In the first variant, atrophic changes predominate with a pronounced decrease in the volume of white matter and a secondary expansion of the lateral ventricles. Diffuse leukomalacia is most often mistaken for PVL, but the localization of the white matter lesion of the large hemispheres is extensive and extends beyond the peri- and paraventricular region. Clinical examples show various variants of primary non-hemorrhagic brain lesions in prematurely born children in the long-term period. The analysis of the revealed changes is carried out, taking into account current data on developing the brain and pathomorphological criteria.

In childhood, various infectious, autoimmune, genetic diseases can manifest. We present a case of fatal encephalomyelopolyradiculoneuritis of unknown etiology in a 9-year-old child. Patient N.K. in February 2019, noted an increase in temperature to subfebrile values, received symptomatic and antibiotic therapy without effect. An increase in protein and lymphocytes was found in the cerebrospinal fluid. According to MRI data, the emergence of more and more foci of the pathological signal in the brain and spinal cord, cranial nerves and nerve roots of the lumbar plexus was noted. Known infectious and autoimmune diseases were excluded. Despite active therapy with glucocorticoids, antibiotics, antiviral drugs, immunoglobulin, the disease continued to progress, and the patient died in April 2020.